FOUNDATION OF PROFESSIONAL NURSING PRACTICE188
Contents ANSWER KEY - FOUNDATION OF PROFESSIONAL
NURSING PRACTICE I: FOUNDATION OF NURSING NURSING PRACTICE.................................................. 199
PRACTICE .......................................................................... 4 COMMUNITY HEALTH NURSING AND CARE OF THE
NURSING PRACTICE II ..................................................... 15 MOTHER AND CHILD .................................................... 200
NURSING PRACTICE III .................................................... 26 ANSWER KEY: COMMUNITY HEALTH NURSING AND
CARE OF THE MOTHER AND CHILD........................... 211
NURSING PRACTICE IV .................................................... 36
Comprehensive Exam 1 ................................................ 213
NURSING PRACTICE V ..................................................... 46
CARE OF CLIENTS WITH PHYSIOLOGIC AND
TEST I - Foundation of Professional Nursing Practice ..... 56
PSYCHOSOCIAL ALTERATIONS...................................... 222
Answers and Rationale – Foundation of Professional
ANSWER KEY: CARE OF CLIENTS WITH PHYSIOLOGIC
Nursing Practice ......................................................... 66
AND PSYCHOSOCIAL ALTERATIONS .......................... 234
TEST II - Community Health Nursing and Care of the
Nursing Practice Test V................................................. 235
Mother and Child ........................................................... 74
Nursing Practice Test V................................................. 245
Answers and Rationale – Community Health Nursing
and Care of the Mother and Child ............................. 84 TEST I - Foundation of Professional Nursing Practice ... 255
TEST III - Care of Clients with Physiologic and Answers and Rationale – Foundation of Professional
Psychosocial Alterations ................................................ 91 Nursing Practice ....................................................... 265
Answers and Rationale – Care of Clients with TEST II - Community Health Nursing and Care of the
Physiologic and Psychosocial Alterations ................ 102 Mother and Child ......................................................... 273
TEST IV - Care of Clients with Physiologic and Answers and Rationale – Community Health Nursing
Psychosocial Alterations .............................................. 111 and Care of the Mother and Child ........................... 283
Answers and Rationale – Care of Clients with TEST III - Care of Clients with Physiologic and
Physiologic and Psychosocial Alterations ................. 122 Psychosocial Alterations .............................................. 290
TEST V - Care of Clients with Physiologic and Psychosocial Answers and Rationale – Care of Clients with
Alterations .................................................................... 133 Physiologic and Psychosocial Alterations ................ 301
Answers and Rationale – Care of Clients with TEST IV - Care of Clients with Physiologic and
Physiologic and Psychosocial Alterations ................. 144 Psychosocial Alterations .............................................. 310
PART III PRACTICE TEST I FOUNDATION OF NURSING .153 Answers and Rationale – Care of Clients with
Physiologic and Psychosocial Alterations ................. 321
ANSWERS AND RATIONALE – FOUNDATION OF
NURSING................................................................... 158 TEST V - Care of Clients with Physiologic and Psychosocial
Alterations .................................................................... 332
PRACTICE TEST II Maternal and Child Health ................ 162
Answers and Rationale – Care of Clients with
ANSWERS AND RATIONALE – MATERNAL AND CHILD
Physiologic and Psychosocial Alterations ................. 343
HEALTH ..................................................................... 167
PART III ......................................................................... 352
MEDICAL SURGICAL NURSING ...................................... 173
PRACTICE TEST I FOUNDATION OF NURSING ............... 352
ANSWERS AND RATIONALE – MEDICAL SURGICAL
NURSING................................................................... 178 ANSWERS AND RATIONALE – FOUNDATION OF
NURSING .................................................................. 357
PSYCHIATRIC NURSING ................................................. 180
PRACTICE TEST II Maternal and Child Health ................ 361
ANSWERS AND RATIONALE – PSYCHIATRIC NURSING
................................................................................ 185
, ANSWERS AND RATIONALE – MATERNAL AND CHILD MEDICAL SURGICAL NURSING Part 1 ........................... 475
HEALTH ..................................................................... 366 ANSWERS and RATIONALES for MEDICAL SURGICAL
MEDICAL SURGICAL NURSING ...................................... 372 NURSING Part 1 ........................................................ 479
ANSWERS AND RATIONALE – MEDICAL SURGICAL MEDICAL SURGICAL NURSING Part 2 ........................... 481
NURSING................................................................... 377 MEDICAL SURGICAL NURSING Part 2 ....................... 485
PSYCHIATRIC NURSING ................................................. 379 ANSWERS and RATIONALES for MEDICAL SURGICAL
ANSWERS AND RATIONALE – PSYCHIATRIC NURSING NURSING Part 2 ........................................................ 489
................................................................................ 384 MEDICAL SURGICAL NURSING Part 3 ........................... 491
FUNDAMENTALS OF NURSING PART 1......................... 387 ANSWERS and RATIONALES for MEDICAL SURGICAL
FUNDAMENTALS OF NURSING PART 2......................... 392 NURSING Part 3 ........................................................ 495
ANSWERS and RATIONALES for FUNDAMENTALS OF PSYCHIATRIC NURSING Part 1 ...................................... 497
NURSING PART 2 ...................................................... 397 ANSWERS and RATIONALES for PSYCHIATRIC NURSING
FUNDAMENTALS OF NURSING PART 3......................... 401 Part 1 ........................................................................ 502
ANSWERS and RATIONALES for FUNDAMENTALS OF PSYCHIATRIC NURSING Part 2 ...................................... 504
NURSING PART 3 ...................................................... 405 ANSWERS and RATIONALES for PSYCHIATRIC NURSING
MATERNITY NURSING Part 1 ........................................ 409 Part 2 ........................................................................ 509
ANSWERS and RATIONALES for MATERNITY NURSING PSYCHIATRIC NURSING Part 3 ...................................... 512
Part 1 ........................................................................ 418 ANSWERS and RATIONALES for PSYCHIATRIC NURSING
MATERNITY NURSING Part 2 ........................................ 428 Part 3 ........................................................................ 516
Answer for maternity part 2 ..................................... 433 PROFESSIONAL ADJUSTMENT ...................................... 519
PEDIATRIC NURSING ..................................................... 434 LEADERSHIP and MANAGEMENT ................................. 522
ANSWERS and RATIONALES for PEDIATRIC NURSING NURSING RESEARCH Part 1 .......................................... 532
................................................................................ 439 NURSING RESEARCH Part 2 .......................................... 542
COMMUNITY HEALTH NURSING Part 1 ........................ 444 Nursing Research Suggested Answer Key ................. 546
COMMUNITY HEALTH NURSING Part 2 ........................ 454
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,
, 5. Benner’s “Proficient” nurse level is different
from the other levels in nursing expertise in the
context of having:
NURSING PRACTICE I: FOUNDATION OF NURSING
a. the ability to organize and plan activities
PRACTICE b. having attained an advanced level of
education
SITUATION: Nursing is a profession. The nurse should c. a holistic understanding and perception
have a background on the theories and foundation of of the client
nursing as it influenced what is nursing today. d. intuitive and analytic ability in new
situations
1. Nursing is the protection, promotion and
optimization of health and abilities, prevention SITUATION: The nurse has been asked to administer an
of illness and injury, alleviation of suffering injection via Z TRACK technique. Questions 6 to 10 refer
through the diagnosis and treatment of human to this.
response and advocacy in the care of the
individuals, families, communities and the 6. The nurse prepares an IM injection for an adult
population. This is the most accepted definition client using the Z track technique. 4 ml of
of nursing as defined by the: medication is to be administered to the client.
a. PNA Which of the following site will you choose?
b. ANA a. Deltoid
c. Nightingale b. Rectus femoris
d. Henderson c. Ventrogluteal
d. Vastus lateralis
2. Advancement in Nursing leads to the
development of the Expanded Career Roles. 7. In infants 1 year old and below, which of the
Which of the following is NOT an expanded following is the site of choice for intramuscular
career role for nurses? Injection?
a. Nurse practitioner a. Deltoid
b. Nurse Researcher b. Rectus femoris
c. Clinical nurse specialist c. Ventrogluteal
d. Nurse anaesthesiologist d. Vastus lateralis
3. The Board of Nursing regulated the Nursing 8. In order to decrease discomfort in Z track
profession in the Philippines and is responsible administration, which of the following is
for the maintenance of the quality of nursing in applicable?
the country. Powers and duties of the board of a. Pierce the skin quickly and smoothly at
nursing are the following, EXCEPT: a 90 degree angle
a. Issue, suspend, revoke certificates of b. Inject the medication steadily at around
registration 10 minutes per millilitre
b. Issue subpoena duces tecum, ad c. Pull back the plunger and aspirate for 1
testificandum minute to make sure that the needle did
c. Open and close colleges of nursing not hit a blood vessel
d. Supervise and regulate the practice of d. Pierce the skin slowly and carefully at a
nursing 90 degree angle
4. A nursing student or a beginning staff nurse who 9. After injection using the Z track technique, the
has not yet experienced enough real situations nurse should know that she needs to wait for a
to make judgments about them is in what stage few seconds before withdrawing the needle and
of Nursing Expertise? this is to allow the medication to disperse into
a. Novice the muscle tissue, thus decreasing the client’s
b. Newbie discomfort. How many seconds should the nurse
c. Advanced Beginner wait before withdrawing the needle?
d. Competent a. 2 seconds
4